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Leiana Lutz Jagolino, PA
Medical Physician Assistant in Salem, Oregon
NPI 1538459599

Leiana Lutz Jagolino is a Medical Physician Assistant based in Salem, OR and is specialized in Medical. Leiana Lutz Jagolino practices in Salem, OR and has the professional credentials of PA. The NPI Number for Leiana Lutz Jagolino is 1538459599 and holds a License No. 006077 (Oregon).

The current practice location address for Leiana Lutz Jagolino is 2925 Ryan Dr Se, Salem, OR and can be reached out via phone at 503-399-1262 and via fax at 503-371-0777.

Location: 2925 Ryan Dr Se, Salem, OR, 97301-9687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538459599
Provider Name
Leiana Lutz Jagolino
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2925 Ryan Dr Se, Salem, OR, 97301-9687
Phone Number
503-399-1262
Fax Number
503-371-0777
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2044027 05 WA
003109002A 05 GA
500685132 05 OR
institution
Provider Business Practice Location Address Details
Address
2925 Ryan Dr Se
City
Salem
State
Oregon
Zip
97301-9687
Phone Number
503-399-1262
Fax Number
503-371-0777
person
Provider Business Mailing Address Details
Address
2925 Ryan Dr Se
City
Salem
State
Oregon
Zip
97301-9687
Phone Number
503-399-1262
Fax Number
503-371-0777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA167677 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
006077 (Georgia)
Definition
Definition to come...
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